Organization Active NPI

E.P. Delfin, Jr., M.D.

  • Family Medicine Physician
  • Norwalk, CA
National Provider Identifier
1083797963
Registry record updated Jul 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A34020 Issued in CA
Legal business name
E.P. DELFIN, JR., M.D.
Practice address
13330 Bloomfield Ave
112
Norwalk, CA 90650-3251
Phone
(562) 864-2544
Fax
(562) 864-8608
NPI assigned
Oct 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Eleuterio Delfin Jr., M.D.
Title
Proprietor
Phone
(562) 864-2544

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X A34020 CA Primary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X A34020 CA

Addresses

Primary practice location

13330 Bloomfield Ave
112
Norwalk, CA 90650-3251

Mailing address

13330 Bloomfield Ave
112
Norwalk, CA 90650-3251
Phone (562) 864-2544

Other identifiers 2

IdentifierTypeStateIssuer
A34020OtherCALICENSE NUMBER
00A340200MedicaidCA

National Provider Directory

National Provider Directory

Locations

13330 Bloomfield Ave
Ste 112
Norwalk, CA 90650
Phone (562) 864-2544

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185494400000",
    "number": "1083797963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13330 BLOOMFIELD AVE",
            "address_2": "112",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906503251",
            "telephone_number": "562-864-2544",
            "fax_number": "562-864-8908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13330 BLOOMFIELD AVE",
            "address_2": "112",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906503251",
            "telephone_number": "562-864-2544",
            "fax_number": "562-864-8608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E.P. DELFIN, JR., M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-07-27",
        "status": "A",
        "authorized_official_last_name": "DELFIN",
        "authorized_official_first_name": "ELEUTERIO",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "562-864-2544",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A34020",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "A34020",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "A34020",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A340200",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.